NPIMap

Organization Active NPI

The Young Men's Christian Association of Red Bank, NJ a Nonprofit Corp

Doing business as The Community YMCA

  • Health Educator
  • Red Bank, NJ
National Provider Identifier
1902898141
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF RED BANK, NJ A NONPROFIT CORP
Doing business as
The Community YMCA
Practice address
166 Maple Avenue
Red Bank, NJ 07701
Phone
(732) 741-2504
Fax
(743) 842-3396
NPI assigned
Aug 15, 2005
Last updated
Apr 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Rhonda Anderson
Title
President & Ceo
Phone
(732) 784-6612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

166 Maple Avenue
Red Bank, NJ 07701

Mailing address

170 Patterson Avenue
Shrewsbury, NJ 07702
Phone (732) 671-5505

Other identifiers 2

IdentifierTypeStateIssuer
0035807MedicaidNJ
0020567MedicaidNJ

Other names 1

  • The Community YMCA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
YMCA of the Jersey Shore129 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

166 Maple Ave
Red Bank, NJ 07701
Phone (732) 741-2504

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1902898141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PATTERSON AVENUE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "07702",
            "telephone_number": "732-671-5505",
            "fax_number": "732-784-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MAPLE AVENUE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-741-2504",
            "fax_number": "743-842-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF RED BANK, NJ A NONPROFIT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "732-784-6612",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035807",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020567",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Community YMCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.